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Wyoming rates for HCPCS L1848

Knee orthosis (KO), double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.33 / $392.33 / $613.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$684.17 / $684.17 / $684.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.17 / $684.17 / $684.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.50 / $437.50 / $758.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.38 / $319.38 / $437.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.72 / $308.85 / $344.03